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	<title>Comments on: &quot;Did Robin Williams Have Open Heart Surgery Or Minimally Invasive Surgery?&quot; Asks Marianna</title>
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	<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/</link>
	<description>Former Patient And Author, Adam Pick, Blogs About Heart Valve Replacement And Heart Valve Repair</description>
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		<title>By: sue</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-21429</link>
		<dc:creator>sue</dc:creator>
		<pubDate>Thu, 13 May 2010 19:25:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-21429</guid>
		<description>morton--your doctor is one of the few i have  heard of who is being totally honest with you. i do not anyone who fully recovered and was back at full activity in the 8 week period--or anywhere close to that. the medical definition and the real definition of &#039;recovery&#039; are very different. i wish more doctors would truly prepare patients for what a long and slow process full recovery. i have a mitral valve replacement and a repair to my tricuspid valve and it was closer to 8 months than 8 weeks. it would have been easier if i hadn&#039;t been pushing myself to do too much, thinking i &#039;should&#039; be more active. LISTEN TO YOUR BODY has never been more accurate.</description>
		<content:encoded><![CDATA[<p>morton&#8211;your doctor is one of the few i have  heard of who is being totally honest with you. i do not anyone who fully recovered and was back at full activity in the 8 week period&#8211;or anywhere close to that. the medical definition and the real definition of &#8216;recovery&#8217; are very different. i wish more doctors would truly prepare patients for what a long and slow process full recovery. i have a mitral valve replacement and a repair to my tricuspid valve and it was closer to 8 months than 8 weeks. it would have been easier if i hadn&#8217;t been pushing myself to do too much, thinking i &#8216;should&#8217; be more active. LISTEN TO YOUR BODY has never been more accurate.</p>
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		<title>By: Sandra</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-14251</link>
		<dc:creator>Sandra</dc:creator>
		<pubDate>Mon, 31 Aug 2009 05:30:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-14251</guid>
		<description>I am confused about the term &quot;open heart&quot; surgery.  I had minimally invasive heart surgery between the ribs on the right side for mitral valve repair and atrial/septal aneurysm repair.  I was told that this was &quot;open heart&quot; surgery.  Is this not correct?  The surgery lasted 7 hours and the heart was definitely opened.  Comments please.</description>
		<content:encoded><![CDATA[<p>I am confused about the term &#8220;open heart&#8221; surgery.  I had minimally invasive heart surgery between the ribs on the right side for mitral valve repair and atrial/septal aneurysm repair.  I was told that this was &#8220;open heart&#8221; surgery.  Is this not correct?  The surgery lasted 7 hours and the heart was definitely opened.  Comments please.</p>
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		<title>By: Adam Pick</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-10640</link>
		<dc:creator>Adam Pick</dc:creator>
		<pubDate>Wed, 10 Jun 2009 19:53:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-10640</guid>
		<description>Hi Morton, 

Thanks for sharing your story. 

To learn more about heart surgery recovery time, please click this link. 

http://www.heart-valve-surgery.com/heart-surgery-blog/2009/06/02/recovery-time/

I am hopeful the information presented there will help you. 

My thoughts and prayers are with you.

Let me know if you need anything else!

Keep on tickin!

Adam</description>
		<content:encoded><![CDATA[<p>Hi Morton, </p>
<p>Thanks for sharing your story. </p>
<p>To learn more about heart surgery recovery time, please click this link. </p>
<p><a href="http://www.heart-valve-surgery.com/heart-surgery-blog/2009/06/02/recovery-time/" rel="nofollow">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/06/02/recovery-time/</a></p>
<p>I am hopeful the information presented there will help you. </p>
<p>My thoughts and prayers are with you.</p>
<p>Let me know if you need anything else!</p>
<p>Keep on tickin!</p>
<p>Adam</p>
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		<title>By: Morton Krakow</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-10639</link>
		<dc:creator>Morton Krakow</dc:creator>
		<pubDate>Wed, 10 Jun 2009 18:15:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-10639</guid>
		<description>I am an 84 year old with a critical aortic valve, a mild leaky mitral valve, A fib and dilated right and left atrium.  I am working and very active. My cardiolgist says if I go for the works it will take me 3 years to get back to where I am now which is not nice. any thoughts?</description>
		<content:encoded><![CDATA[<p>I am an 84 year old with a critical aortic valve, a mild leaky mitral valve, A fib and dilated right and left atrium.  I am working and very active. My cardiolgist says if I go for the works it will take me 3 years to get back to where I am now which is not nice. any thoughts?</p>
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		<title>By: Michelle Armstrong</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-10418</link>
		<dc:creator>Michelle Armstrong</dc:creator>
		<pubDate>Fri, 05 Jun 2009 01:54:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-10418</guid>
		<description>HI, My mother has to have aortic value replaced. She has a lot of other conditions, which include, smoking, emphezema, copd, blockage in her right leg, and she is a diabetic. She is only 65 and the Surgeon said she had 95% recovery rate. She is bulkin about having the surgery. She will only have up to 2 years without it. She thinks the dr hasn&#039;t taken those other ailments into consideration, but we did talk about at the appointment. Is it possible she is not getting enough oxygen to her brain and she can not make good choices or am I just trying to make her have her surgery for my own selfish reasons. I really have to try though. I want her to make the best decision and she is convinced she will end up like her mother, my grandmother, like a child mentally and all cut up. I don&#039;t want that for her either. I am not sure how to help. Can anyone help me?</description>
		<content:encoded><![CDATA[<p>HI, My mother has to have aortic value replaced. She has a lot of other conditions, which include, smoking, emphezema, copd, blockage in her right leg, and she is a diabetic. She is only 65 and the Surgeon said she had 95% recovery rate. She is bulkin about having the surgery. She will only have up to 2 years without it. She thinks the dr hasn&#8217;t taken those other ailments into consideration, but we did talk about at the appointment. Is it possible she is not getting enough oxygen to her brain and she can not make good choices or am I just trying to make her have her surgery for my own selfish reasons. I really have to try though. I want her to make the best decision and she is convinced she will end up like her mother, my grandmother, like a child mentally and all cut up. I don&#8217;t want that for her either. I am not sure how to help. Can anyone help me?</p>
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		<title>By: Adam Pick</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-10060</link>
		<dc:creator>Adam Pick</dc:creator>
		<pubDate>Wed, 27 May 2009 19:10:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-10060</guid>
		<description>Great clarification Sean... 

For more on this topic - glue or stapled incisions - click the following link:

http://www.heart-valve-surgery.com/heart-surgery-blog/2008/12/16/glue-incision-staples-stapled-incisions/

Fyi, I was super glued!

Keep on tickin!

Adam</description>
		<content:encoded><![CDATA[<p>Great clarification Sean&#8230; </p>
<p>For more on this topic &#8211; glue or stapled incisions &#8211; click the following link:</p>
<p><a href="http://www.heart-valve-surgery.com/heart-surgery-blog/2008/12/16/glue-incision-staples-stapled-incisions/" rel="nofollow">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/12/16/glue-incision-staples-stapled-incisions/</a></p>
<p>Fyi, I was super glued!</p>
<p>Keep on tickin!</p>
<p>Adam</p>
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		<title>By: Sean</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-10058</link>
		<dc:creator>Sean</dc:creator>
		<pubDate>Wed, 27 May 2009 18:43:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-10058</guid>
		<description>Just a little clarification on the &quot;zipper&quot;... Some hospitals/surgeons close the chest with a glue that holds the skin together, and some use staples.  I had staples (at Duke), but the local hospital here in Greensboro, NC uses glue.  I&#039;ve seen patients here with the glue approach, and they look good.  About the only difference is that 9 months post-op I can still make out (faintly) the staple holes.  No big deal, though.  I can tell you that I was very pleased with the staples.  They were awesome!  A very neat column of 31 chrome-colored metal staples going down my 8-inch incision (full sternotomy).  It looked so much like a zipper I wanted to unzip it and peer in!  Maybe the glued patients could form a SuperGlue Club.</description>
		<content:encoded><![CDATA[<p>Just a little clarification on the &#8220;zipper&#8221;&#8230; Some hospitals/surgeons close the chest with a glue that holds the skin together, and some use staples.  I had staples (at Duke), but the local hospital here in Greensboro, NC uses glue.  I&#8217;ve seen patients here with the glue approach, and they look good.  About the only difference is that 9 months post-op I can still make out (faintly) the staple holes.  No big deal, though.  I can tell you that I was very pleased with the staples.  They were awesome!  A very neat column of 31 chrome-colored metal staples going down my 8-inch incision (full sternotomy).  It looked so much like a zipper I wanted to unzip it and peer in!  Maybe the glued patients could form a SuperGlue Club.</p>
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		<title>By: chris</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-9952</link>
		<dc:creator>chris</dc:creator>
		<pubDate>Fri, 22 May 2009 21:20:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-9952</guid>
		<description>Marianna, I am 7 weeks post op from minimally invasive.  Both procedures are an open heart procedure, just a different approach.  I personally did not want to have my breastbone split.  My Dr. would have done it either way, it was my choice.  I have a friend who had the same surgery as me, only he had breastbone split.  I am not sure who is further ahead in recovery at this point, both of us seemed to experience same levels of pain,etc.  I am still very happy I had the &quot;non-zipper&quot; approach....I do wear my scars with pride though!!!</description>
		<content:encoded><![CDATA[<p>Marianna, I am 7 weeks post op from minimally invasive.  Both procedures are an open heart procedure, just a different approach.  I personally did not want to have my breastbone split.  My Dr. would have done it either way, it was my choice.  I have a friend who had the same surgery as me, only he had breastbone split.  I am not sure who is further ahead in recovery at this point, both of us seemed to experience same levels of pain,etc.  I am still very happy I had the &#8220;non-zipper&#8221; approach&#8230;.I do wear my scars with pride though!!!</p>
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		<title>By: Sylvia Woolworth</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-9947</link>
		<dc:creator>Sylvia Woolworth</dc:creator>
		<pubDate>Fri, 22 May 2009 15:59:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-9947</guid>
		<description>Hi Adam,
Before my procedure five weeks ago, I read your book and I felt I was well prepared for my surgery.  My doctor, John M Brown III, chief thorasic surgeon at Morristown Memorial Hospital in Morristown, N J, also prepared me, at my visit, and through their website, Mid-Atlantic Surgical Associates. My severe aortic stenosis had no symptoms except my heart murmur. Since my cardiologist had scheduled echocardiograms to monitor my condition, and we discussed the need for my aortic valve replacement, I wanted to be in the best physical and mental conditions for the operation.  Over one year I lost 35 pounds by going to the YMCA four to five days a week. I joined Weight Watchers to learn better eating habits, and my program at the Y was water exercises and swimming. After six months into both programs I discussed my reason for joining and everyone was extremely supportive.  Saying out loud that I was preparing for heart surgery gave me confidence that I was doing everything posible for success. 
To answer Marianna&#039;s question about aortic valve replacement, first you have to have a catheterization to find out if you have any blockage in your arteries.  You are awake during that outpatient procedure, (I was given a Benidril pill and Valium )  Everything is explained by the nurses.  The only sensation felt was warmness and the Dr. talks to you during the procedure and tells you what he is doing and what to expect. After that procedure, you go back to a holding room for a few hours until you are stable, and then go home with instructions. My cardiologist informed me that my arteries were good.  Next was seeing my surgeon, Dr. Brown, who informed me that he could do minimally invasive surgery, which is a four inch scar from the middle of my breast up.  Dr. Brown also informed me that if anything happened to my valve ten years down the road, the procedure to replace the valve would be done through the groin. Adam discussed this procedure in his blog, and that it is being done in London. After five weeks I am cooking and doing some gardening, but no lifting yet. After surgery I was given a heart pillow by my doctor which I found most useful, holding it if you cough, putting it between the seatbelt while riding in the car, and I hug it every night in bed. Every day I am getting better and better.
Sylvia Woolworth, 73 years young</description>
		<content:encoded><![CDATA[<p>Hi Adam,<br />
Before my procedure five weeks ago, I read your book and I felt I was well prepared for my surgery.  My doctor, John M Brown III, chief thorasic surgeon at Morristown Memorial Hospital in Morristown, N J, also prepared me, at my visit, and through their website, Mid-Atlantic Surgical Associates. My severe aortic stenosis had no symptoms except my heart murmur. Since my cardiologist had scheduled echocardiograms to monitor my condition, and we discussed the need for my aortic valve replacement, I wanted to be in the best physical and mental conditions for the operation.  Over one year I lost 35 pounds by going to the YMCA four to five days a week. I joined Weight Watchers to learn better eating habits, and my program at the Y was water exercises and swimming. After six months into both programs I discussed my reason for joining and everyone was extremely supportive.  Saying out loud that I was preparing for heart surgery gave me confidence that I was doing everything posible for success.<br />
To answer Marianna&#8217;s question about aortic valve replacement, first you have to have a catheterization to find out if you have any blockage in your arteries.  You are awake during that outpatient procedure, (I was given a Benidril pill and Valium )  Everything is explained by the nurses.  The only sensation felt was warmness and the Dr. talks to you during the procedure and tells you what he is doing and what to expect. After that procedure, you go back to a holding room for a few hours until you are stable, and then go home with instructions. My cardiologist informed me that my arteries were good.  Next was seeing my surgeon, Dr. Brown, who informed me that he could do minimally invasive surgery, which is a four inch scar from the middle of my breast up.  Dr. Brown also informed me that if anything happened to my valve ten years down the road, the procedure to replace the valve would be done through the groin. Adam discussed this procedure in his blog, and that it is being done in London. After five weeks I am cooking and doing some gardening, but no lifting yet. After surgery I was given a heart pillow by my doctor which I found most useful, holding it if you cough, putting it between the seatbelt while riding in the car, and I hug it every night in bed. Every day I am getting better and better.<br />
Sylvia Woolworth, 73 years young</p>
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		<title>By: Richard Holoubek</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/comment-page-1/#comment-9940</link>
		<dc:creator>Richard Holoubek</dc:creator>
		<pubDate>Fri, 22 May 2009 12:56:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/05/21/robin-williams-chest-scar-picture/#comment-9940</guid>
		<description>Too Funny!!!  Calling it a Zipper.  As a matter of fact.. I wasn&#039;t aware that it was referred to as that, but, I&#039;ve said from the moment I saw my scar that I was going to have a &quot;zipper&quot; tatooed over it when the redness subsided.  I&#039;m currently using Mederma to lighted it up to the point I think it might need to be before I get it tatooed.  
Is this risky and ill advised to do?</description>
		<content:encoded><![CDATA[<p>Too Funny!!!  Calling it a Zipper.  As a matter of fact.. I wasn&#8217;t aware that it was referred to as that, but, I&#8217;ve said from the moment I saw my scar that I was going to have a &#8220;zipper&#8221; tatooed over it when the redness subsided.  I&#8217;m currently using Mederma to lighted it up to the point I think it might need to be before I get it tatooed.<br />
Is this risky and ill advised to do?</p>
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